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Louisiana rates for HCPCS 64615

Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $138.04 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $501.19 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $245.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $281.84